Effect Of Percutaneous Electrical Nerve Field Stimulation on Symptom Control/Nervous System Activity in Patients w/Diabetes Types 1/2

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-60
SponsorIndiana University

About this trial

The purpose of this study is to evaluate whether stimulation of the vagus nerve can improve nausea and vomiting in diabetic gastroparetic patients.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Wiling to have one teaspoon (5 ml) of blood drawn.

Willing to have electrodes placed in the external ear.

Diagnosed with gastroparesis for twelve months or longer

Diagnosed with diabetes either Type 1 or Type 2

Disqualifiers

Unable to provide consent

Pregnant females

Medical records indicate intestinal pseudo-obstruction

Diagnosed with cardiac arrhythmia

Trial design

Design model

Parallel

Treatments tested in this trial

  • PERCUTANEOUS ELECTRICAL FIELD NERVE STIMULATION

    Device

    The IB-Stim is a percutaneous electrical nerve field stimulator (PENFS) system intended to be used in patients 11-18 years of age with functional abdominal pain associated with irritable bowel syndrome (IBS). The IB-Stim is intended to be used for 120 hours per week up to 3 consecutive weeks, through application to branches of Cranial Nerves V, VII, IX and X, and the occipital nerves identified by transillumination, as an aid in the reduction of pain when combined with other therapies for IBS.

  • Sham percutaneous electrical nerve field stimulation

    Device

    SHAM (no electrical charge)

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: ACTIVE (electrical charge)Active comparator 1 intervention
Group B: Sham percutaneous electrical nerve field stimulation (no electrical charge)Sham comparator 1 intervention

Trial outcomes

Primary outcomes

1

Change in Gastroparesis Cardinal Symptom Index Daily Dairy

A modified version of the GASTROPARESIS CARDINAL SYMPTOM INDEX - DAILY DIARY (GCSI-DD) will be used. The questionnaire evaluates 4 gastroparesis symptoms (nausea, early satiety, postprandial fullness, upper abdominal pain) and asks participants to rate the severity of symptoms over the past 24 hours on a scale from 0 (none) to 4 (very severe). Additionally, vomiting episodes are reported (0 for none, 1 for one episode, 2 for two episodes, 3 for three episodes, or 4 for four or more episodes). Lower total scores indicate fewer or less severe symptoms.

Time frame
Baseline, Week 5
2

Change in Patient Assessment of Upper Gastrointestinal Disorder Symptoms

Scores are calculated by averaging the scores for each item in the subscale, with scores ranging from 0 (none or absent) to 5 (very severe). Optimal outcome would be a score of zero, no episodes/symptoms.

Time frame
Baseline, Week 5

Secondary outcomes

1

Change in Heart Rate Variability

Heart Rate Variability is reported on a 0-100 scale.

Time frame
Baseline, Week 5
2

Change in Anxiety

The General Anxiety Disorder (GAD)-7 scale is from 0-21, where 0= no anxiety and 21=severe anxiety

Time frame
Baseline, Week 5
3

Change in the measure of depression

Patient Health Questionnaire (PHQ)-8 is a questionnaire that measures self-reported depressive systems. PHQ-8 uses a range from 0-24, where 0=no depressive symptoms and 24=severe symptoms.

Time frame
Baseline, Week 5
4

Change in Patient Assessment of Upper Gastrointestinal Disorder Symptoms by Diabetes Type

Scores are calculated by averaging the scores for each item in the subscale, with scores ranging from 0 (none or absent) to 5 (very severe). Optimal outcome would be a score of zero, no episodes/symptoms.

Time frame
Baseline, Week 5

Other outcomes

Sponsors and contacts

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